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Deficiency Records for Orchard Creek Skilled Nursing
View the most recent health deficiencies and inspection results for Orchard Creek Skilled Nursing. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Orchard Creek Skilled Nursing. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-09-04 | 2025-10-10 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2025-09-04 | 2025-10-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-09-04 | 2025-10-10 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2025-09-04 | 2025-10-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-09-04 | 2025-10-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-09-04 | 2025-10-10 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-09-04 | 2025-10-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-09-04 | 2025-10-10 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-09-04 | 2025-10-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-09-04 | 2025-10-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-09-04 | 2025-10-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-09-04 | 2025-09-26 | N |
| Have exits that are accessible at all times. | Fire Safety | 2025-09-04 | 2025-09-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-09-04 | 2025-09-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-10-02 | 2024-11-01 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-10-02 | 2024-11-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-02 | 2024-11-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-10-02 | 2024-11-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-02 | 2024-11-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-25 | 2023-12-14 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-10-25 | 2023-12-14 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-10-25 | 2023-11-16 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-10-25 | 2023-11-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-25 | 2023-11-16 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2023-10-25 | 2023-11-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-25 | 2023-11-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-25 | 2023-11-16 | N |
| Respond appropriately to all alleged violations. | Health | 2023-10-25 | 2023-11-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-25 | 2023-11-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-25 | 2023-11-16 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-10-25 | 2023-11-16 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2023-10-25 | 2023-11-16 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-10-25 | 2023-11-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-25 | 2023-11-16 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-10-25 | 2023-11-16 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-10-25 | 2023-11-16 | N |